Bolthole Index county-legal census · checked 2026-10-10
Septic permitting in Georgia is mixed: 85 counties use county health departments, 0 go through a state agency, and 74 through regional districts.Every entry below names the approving authority for that county, cited to the authority’s own page.
Septic rules change and some cities run their own programs — treat this as a verified starting point, not legal advice. All states → Georgia water rights & wells → Full Georgia profile →
159 counties · mixed — varies by county · permit status scouted for 159
Appling County Environmental Health (Southeast Health District, GA DPH)
Southeast Health District - Appling County Health Department ↗Southeast Health District - Environmental Health (Atkinson County Health Department)
Southeast Health District - Environmental Health Programs ↗Bacon County Environmental Health, Southeast Health District (Georgia DPH)
GA R&R - GAC - Subject 511-3-1 ON-SITE SEWAGE MANAGEMENT SYSTEMS ↗Southwest Georgia Public Health District (District 8-2, Albany) Environmental Health
Georgia DPH — District 8-2 / Albany / Southwest Health District ↗Baldwin County Environmental Health (North Central Health District, GA DPH)
North Central Health District — Baldwin County Environmental Health ↗Banks County Environmental Health (District 2 Public Health, Georgia DPH)
Banks County FAQ - Septic Permitting ↗Barrow County Environmental Health (Northeast Health District, Georgia DPH)
Georgia On-Site Sewage Management Systems Rules ↗Northwest Georgia Public Health District (District 1-1) Environmental Health - Bartow County
On-Site Sewage Management Systems Manual ↗Ben Hill County Health Department (Environmental Health), South Health District, Georgia DPH
Manual for On-Site Sewage Management Systems ↗Berrien County Environmental Health (South Health District, GA DPH)
Onsite Sewage - Georgia Department of Public Health ↗Macon-Bibb County Environmental Health (North Central Health District, GA DPH)
North Central Health District - Bibb County Environmental Health ↗South Central Health District — Environmental Health (Bleckley County)
GA DPH Onsite Sewage Manual ↗Brantley County Environmental Health, Southeast Health District (Georgia DPH)
Southeast Health District Environmental Health - On-Site Sewage ↗South Health District (Georgia DPH) - Brooks County Environmental Health
South Health District - Environmental Services ↗Georgia Coastal Health District, Environmental Health (Bryan County Board of Health, under GA DPH)
Georgia Coastal Health District - On-Site Sewage/Septic Systems ↗Bulloch County Environmental Health (Georgia DPH)
Georgia DPH - Bulloch County Health Department ↗Burke County Environmental Health (East Central Health District, GA DPH)
On-Site Sewage Management Systems Manual (March 2026) ↗Butts County Environmental Health / District 4 Public Health (Georgia Dept of Public Health)
Onsite Sewage ↗Southwest Georgia Public Health District (District 8-2, Albany), Calhoun County Environmental Health
Georgia Rule 511-3-1, On-Site Sewage Management Systems ↗Georgia Coastal Health District - Camden County Environmental Health (Georgia DPH)
Georgia Coastal Health District - On-Site Sewage/Septic Systems ↗Candler County Environmental Health / Candler County Board of Health, Southeast Health District (Georgia Department of Public Health)
Southeast Health District - On-Site Sewage ↗Carroll County Health Department, Environmental Health
Conventional Home Permit Application Packet / Residential Change of Use Permit Application Packet ↗Catoosa County Environmental Health (Northwest Georgia Health District, District 1-1, GA DPH)
Georgia DPH - District 1-1 (Rome) Northwest Georgia Health District ↗Charlton County Health Department Environmental Health (Southeast Health District, GA DPH)
Charlton County Health Department ↗Chatham County Health Department Environmental Health (Coastal Health District, GA DPH)
Onsite Sewage ↗Chattahoochee County Environmental Health, West Central Health District (Georgia DPH)
West Central Health District - Environmental Health ↗Chattooga County Environmental Health (Northwest Georgia Public Health District, GA DPH)
Northwest Georgia Public Health, Environmental Health / Land Use ↗Cherokee County Environmental Health (North Georgia Health District)
Onsite Sewage ↗Clarke County Health Department Office of Environmental Health (GA DPH Board of Health)
Environmental Health Department Presubmittal Resource Documents ↗Clay County Environmental Health (West Central Health District, Georgia DPH)
Onsite Sewage ↗Clayton County Health District - Office of Environmental Services (under Georgia DPH)
GAC 511-3-1 On-Site Sewage Management Systems ↗Clinch County Environmental Health, Southeast Health District (Georgia DPH District 8-2)
Onsite Sewage ↗Cobb & Douglas Public Health, Environmental Health Division
Cobb & Douglas Public Health - Septic System Applications ↗Coffee County Environmental Health (Georgia DPH)
Georgia DPH - Coffee County Health Department ↗Colquitt County Environmental Health (Southwest Georgia Public Health District, under GA DPH)
Onsite Sewage ↗Columbia County Environmental Health (East Central Health District, GA DPH)
Onsite Sewage | Georgia Department of Public Health ↗Cook County Environmental Health (South Health District, Georgia Department of Public Health)
South Health District - Cook County Septic Tank/Well Permit Application ↗Coweta County Environmental Health (District 4 Public Health)
2024 IRC Accessory Structures Building Guide ↗Crawford County Environmental Health (North Central Health District, GA DPH)
North Central Health District - Crawford County Environmental Health ↗Crisp County Environmental Health (West Central Health District, Georgia DPH)
West Central Health District - Environmental Health ↗Dade County Environmental Health (Georgia DPH Northwest Health District)
Dade County GA - Permits ↗Dawson County Environmental Health (District 2 Public Health, Georgia DPH)
Dawson County, GA Environmental Health ↗Decatur County Environmental Health - Southwest Georgia Public Health District (8-2), under GA DPH
On-Site Sewage Management Systems Manual ↗DeKalb County Board of Health - Environmental Health
On-Site Sewage Management Systems Manual ↗Dodge County Environmental Health (Georgia DPH, South Central Health District)
Georgia On-Site Sewage Management Systems Manual ↗West Central Health District (District 7), Dooly County Environmental Health
Georgia Manual for On-Site Sewage Management Systems ↗Dougherty County Environmental Health (Southwest Georgia Public Health District)
Southwest Georgia Public Health District - Environmental Health ↗Cobb & Douglas Public Health / Douglas County Board of Health (under GA DPH)
Rule 511-3-1, On-Site Sewage Management Systems ↗Early County Health Department, Environmental Health (Southwest Georgia Public Health District, under Georgia DPH)
Southwest Georgia Public Health District - Environmental Health ↗South Health District (District 8-1, Valdosta) - Environmental Health / Land Use Services
South Health District - Environmental Services ↗Effingham County Environmental Health (Coastal Health District, Georgia DPH)
Environmental Health ↗Elbert County Environmental Health (Northeast Health District, GA DPH)
Elbert County Building Permit Application ↗Emanuel County Environmental Health (East Central Health District, GA DPH)
Emanuel County Code Enforcement FAQs ↗Evans County Environmental Health (Georgia DPH Southeast Health District)
Environmental Conservation, On-Site Sewage Management and Permit Ordinance of Evans County ↗Fannin County Environmental Health Department (North Georgia Health District, GA DPH)
Fannin County Environmental Health - Septic Permit Application ↗Fayette County Environmental Health Department (Georgia Dept of Public Health, District 4)
Fayette County Building Safety - Environmental/Septic Approval ↗Floyd County Health Department, Environmental Health
Floyd County Health Department Environmental Health Section Fee Schedule ↗Forsyth County Environmental Health, Land Use Section (District 2 Public Health, under Georgia DPH)
Sewage Disposal ↗Franklin County Environmental Health (District 2 Public Health, GA DPH)
Franklin County Environmental Health Department septic repair application ↗Fulton County Board of Health, Environmental Health Services (District 3-2, under Georgia DPH)
Well and Septic Inspection ↗Gilmer County Environmental Health (North Georgia Health District, under GA DPH)
Onsite Sewage ↗Glascock County Environmental Health, East Central Health District (Georgia DPH)
Subject 511-3-1 On-Site Sewage Management Systems ↗Glynn County Environmental Health (Coastal Health District, under GA DPH Onsite Sewage program)
Coastal Health District - On-Site Sewage/Septic Systems ↗Gordon County Environmental Health Department
gordoncountyga.gov ↗Grady County Environmental Health (Southwest Georgia Public Health District, GA DPH)
Grady County Code of Ordinances ↗Greene County Environmental Health
Greene County Septic Tank Permits ↗Gwinnett County Environmental Health (GNR Public Health District, under GA DPH)
GNR Health (Gwinnett) Septic Systems ↗Habersham County Environmental Health / Board of Health (under GA DPH district)
On-Site Sewage Management Systems Manual - Georgia DPH ↗Hall County Environmental Health (District 2 Public Health, Georgia DPH)
Environmental Health ↗Hancock County Environmental Health Department (North Central Health District, Georgia Dept of Public Health)
Chapter 511-3-1 — On-Site Sewage Management Systems ↗Haralson County Environmental Health (Northwest Georgia Public Health District, Georgia DPH)
Environmental Health Department ↗Harris County Environmental Health (West Central Health District, Georgia Department of Public Health)
harriscountyga.gov ↗Hart County Environmental Health (Georgia District 2 Public Health)
District 2 Public Health - Hart County Health Department ↗District 4 Public Health - Environmental Health (Heard County office)
District 4 Public Health - Wastewater Management ↗District 4 Public Health, Environmental Health (serving Henry County)
Onsite Sewage ↗Houston County Environmental Health Department (North Central Health District)
Onsite Sewage ↗South Health District (Irwin County Environmental Health)
South Health District - Irwin Environmental Health ↗Jackson County Environmental Health (Northeast Health District, District 10, GA DPH)
Environmental Health ↗Jasper County Environmental Health Department (North Central Health District, GA DPH)
Jasper County Environmental Health Department ↗Jeff Davis County Environmental Health, Southeast Health District
Onsite Sewage ↗Jefferson County Environmental Health (Georgia DPH, East Central Health District)
Georgia Department of Public Health - Onsite Sewage ↗East Central Health District (Georgia DPH District 6) - Jenkins County Environmental Health
Georgia DPH - Onsite Sewage (Environmental Health) ↗South Central Health District - Environmental Health (Johnson County)
Georgia DPH - Onsite Sewage ↗Jones County Environmental Health Department (North Central Health District)
Onsite Sewage ↗District 4 Public Health - Environmental Health (Georgia DPH)
District 4 Public Health - Wastewater Management ↗South Health District — Lanier County Environmental Health
GAC 511-3-1 On-Site Sewage Management Systems ↗Laurens County Environmental Health (South Central Health District)
South Central Health District Environmental Health ↗Southwest Georgia Public Health District (Georgia DPH) - Lee County Environmental Health
Southwest Georgia Public Health District - Environmental Health ↗Coastal Health District - Liberty County Environmental Health
Georgia Coastal Health District - On-Site Sewage/Septic Systems ↗Lincoln County Environmental Health (Georgia DPH East Central Health District)
On-Site Sewage Management Systems Manual ↗Long County Environmental Health (Coastal Health District, Georgia DPH)
Long County Health Department ↗Lowndes County Environmental Health (South Health District, Georgia DPH)
Onsite Sewage ↗Lumpkin County Environmental Health
lumpkincounty.gov ↗Macon County Health Department (Environmental Health)
Macon County (GA) Construction and Inspection Reminders ↗Madison County Environmental Health, Northeast Health District (under GA DPH)
Northeast Health District - Septic Tank Permits ↗Marion County Environmental Health (West Central Health District)
Georgia Rules Chapter 511-3-1 On-Site Sewage Management Systems ↗East Central Health District Environmental Health (Georgia DPH District 6)
East Central Health District - McDuffie County Health Department ↗McIntosh County Environmental Health, Georgia Coastal Health District (under GA DPH)
McIntosh Zoning Ordinance 2025 v1 ↗Meriwether County Environmental Health (District 4 Public Health)
District 4 Public Health - Meriwether County Environmental Health ↗Southwest Georgia Public Health District - Miller County Environmental Health
Onsite Sewage ↗Southwest Georgia Public Health District / Mitchell County Environmental Health (under Georgia DPH)
Onsite Sewage ↗North Central Health District - Monroe County Environmental Health (Georgia DPH)
North Central Health District - Monroe County Environmental Health ↗Montgomery County Environmental Health - South Central Health District (Georgia DPH)
District 5-1 / Dublin / South Central Health District ↗Northeast Health District Environmental Health (Georgia DPH District 10)
Northeast Health District - Environmental Health ↗Murray County Environmental Health (North Georgia Health District 1-2, Georgia DPH)
Environmental Health ↗Muscogee County Environmental Health (West Central Health District, under GA DPH Onsite Sewage program)
Onsite Sewage ↗Newton County Environmental Health (Gwinnett, Newton & Rockdale Health Departments / Georgia DPH)
Newton County Development Regulations ↗Oconee County Health Department, Environmental Services Division
Environmental Health ↗Oglethorpe County Environmental Health (Northeast Health District / District 10)
Onsite Sewage ↗Paulding County Environmental Health (Georgia DPH district)
Paulding County Community Development - Private Dwelling Permit ↗Peach County Environmental Health Department (North Central Health District, Georgia Department of Public Health)
North Central Health District - Peach County Environmental Health Department ↗Pickens County Environmental Health (North Georgia Health District)
North Georgia Health District - Pickens Environmental Health ↗Pierce County Environmental Health (Georgia DPH district)
Georgia DPH - Pierce County contacts ↗Pike County Environmental Health (District 4 Public Health)
District 4 Public Health - Wastewater Management ↗Polk County Environmental Health (Northwest Georgia Public Health District), under GA DPH
Northwest Georgia Public Health District - Environmental Health / Land Use ↗South Central Health District - Environmental Health (Pulaski County office)
Onsite Sewage ↗Putnam County Environmental Health Department (North Central Health District, Georgia DPH)
Manual for On-Site Sewage Management Systems, Section A – Rules ↗Quitman County Environmental Health Department (West Central Health District, Georgia DPH)
West Central Health District — Quitman County Environmental Health Department ↗Rabun County Environmental Health (District 2 Public Health, under GA DPH)
District 2 Public Health - Rabun County Health Department ↗West Central Health District (Georgia DPH) - Randolph County Environmental Health
randolphcountyga.com ↗Richmond County Environmental Health (East Central Health District, Georgia DPH)
Richmond County Environmental Health - East Central Health District ↗Rockdale County Board of Health, Environmental Health Section (Georgia DPH district)
rockdalecountyga.gov ↗West Central Health District (Georgia DPH) — Schley County Environmental Health, Ellaville
Onsite Sewage ↗Screven County Environmental Health (Georgia DPH health district)
Onsite Sewage ↗Seminole County Environmental Health (Southwest Georgia Public Health District 8-2)
Southwest Georgia Public Health District - Seminole County Health Department ↗Spalding County Environmental Health Office (District 4 Public Health, Georgia DPH)
On-Site Sewage Management Systems Manual ↗Stephens County Environmental Health (District 2 Public Health, Georgia DPH)
Georgia Department of Public Health - Onsite Sewage ↗Stewart County Health Department — West Central Health District (District 7) Environmental Health, under Georgia Department of Public Health
West Central Health District — Stewart County Health Department ↗Sumter County Environmental Health (West Central Health District, Georgia DPH)
GA R&R - GAC - Subject 511-3-1 ON-SITE SEWAGE MANAGEMENT SYSTEMS ↗Talbot County Health Department, Environmental Health (West Central Health District, Georgia DPH)
West Central Health District - Talbot County ↗Taliaferro County Environmental Health (East Central Health District, GA DPH)
District 6 / Augusta / East Central Health District ↗Tattnall County Environmental Health (Georgia Department of Public Health county Board of Health / district)
Manual for On-Site Sewage Management Systems ↗West Central Health District - Taylor County Environmental Health Department
West Central Health District - Taylor County Environmental Health ↗South Central Health District (District 5-1, Dublin), Environmental Health
Onsite Sewage ↗Southwest Georgia Public Health District - Environmental Health (Terrell County)
Onsite Sewage ↗Thomas County Health Department Environmental Health (Southwest Georgia Public Health District, GA DPH)
Building Permit Requirements ↗Tift County Environmental Health (South Health District, GA DPH)
Tift County Environmental Health - South Health District ↗Toombs County Environmental Health (Southeast Health District, Georgia DPH)
Rule 511-3-1 On-Site Sewage Management Systems ↗Towns County Health Department, Environmental Health (District 2 Public Health)
Onsite Sewage ↗South Central Health District Environmental Health (Treutlen County)
South Central Health District - Environmental Health Services ↗Troup County Environmental Health (District 4 Public Health, under Georgia DPH)
Troup County Health Department - Environmental Health ↗Turner County Environmental Health (Georgia DPH South Health District)
Georgia Rules and Regulations: On-Site Sewage Management Systems ↗Twiggs County Environmental Health (North Central Health District)
North Central Health District - Twiggs County Environmental Health ↗Union County Environmental Health (North Health District, District 2, GA DPH)
On-Site Sewage Management Systems Manual ↗Upson County Environmental Health (District 4 Public Health, GA DPH)
Environmental Health ↗Walker County Environmental Health (Georgia Department of Public Health, Northwest Health District)
Walker County - Environmental Health ↗Walton County Environmental Health (county board of health, under Georgia DPH district)
Walton County Code of Ordinances, Ch. 39 Art. IV - On-Site Management Systems ↗Ware County Health Department (Southeast Health District)
GA DPH On-Site Sewage Management Systems Manual ↗Warren County Environmental Health (East Central Health District)
Georgia DPH - Onsite Sewage Management ↗Washington County Environmental Health Department (North Central Health District, GA DPH)
Application Procedures & Rules ↗Wayne County Health Department Environmental Health (Southeast Health District, Georgia DPH)
Southeast Health District - Wayne County Health Department ↗West Central Health District (District 7), Environmental Health
Manual for On-Site Sewage Management Systems ↗South Central Health District (District 5-1, Dublin), Environmental Health
Georgia Rules and Regulations Chapter 511-3-1: On-Site Sewage Management Systems ↗White County Environmental Health (Georgia DPH / District 2 Public Health)
Onsite Sewage ↗Whitfield County Environmental Health (North Georgia Health District, under GA DPH On-Site Sewage Management program)
North Georgia Health District - On-Site Sewage Management Systems ↗South Central Health District Environmental Health
Rule 511-3-1 On-Site Sewage Management Systems ↗Wilkes County Environmental Health (East Central Health District)
Georgia DPH - Onsite Sewage Management ↗Wilkinson County Environmental Health Department (North Central Health District)
Chapter 7, Section 1: Environmental Conservation ↗Worth County Environmental Health (Southwest Georgia Public Health District, District 8-2)
Worth County Health Department | Serving Worth County Georgia ↗Every county here has a full profile — its index score, water, land prices, and the rest of its building rules. See the Georgia state page for all counties ranked, or the national septic guide.
Off-grid gear
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General guidance, not legal advice. Off-grid, building, and land-use rules are often set at the county level and change often. Verify with your county and state before acting. Data reviewed 2026-06-26.